CURRENT MANAGEMENT OF SEVERELY ENCRUSTED URETERAL STENTS WITH A LARGE ASSOCIATED STONE BURDEN

Abstract

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Sep 2000CURRENT MANAGEMENT OF SEVERELY ENCRUSTED URETERAL STENTS WITH A LARGE ASSOCIATED STONE BURDEN PRODROMOS G. BORBOROGLU and CHRISTOPHER J. KANE PRODROMOS G. BORBOROGLUPRODROMOS G. BORBOROGLU More articles by this author and CHRISTOPHER J. KANECHRISTOPHER J. KANE More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67272-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We review our recent experience with encrusted retained ureteral stents associated with a large stone burden as well as current endoscopic options available for management. Materials and Methods: One man and 3 women presented to our department between May 1998 and April 1999 for treatment of an encrusted retained ureteral stent. One patient had a history of 3 episodes of ureteral stent encrustation during the last 6 years. We reviewed the management of these stents and the associated stone burden. Results: Average patient age was 32.5 years (range 25 to 41). Average interval that the encrusted stent remained in place was 7 months (range 3 to 12). In the 3 women pregnancy was associated with the retained stent. All patients required 2 to 6 endourological approaches (average 4.2) performed at 1 or multiple sessions to render them stone-free and stent-free. Postoperatively sepsis in 1 case necessitated a prolonged intensive care unit stay with eventual recovery. Conclusions: Successful management of a retained encrusted stent requires combined endourological approaches. Percutaneous nephrostolithotomy and ureteroscopy are often necessary for treating a severely encrusted stent and the associated stone burden. 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Google Scholar From the Department of Urology, Naval Medical Center San Diego, San Diego, California© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byKrishna S, Abello A and Steinberg P (2021) Forget Forgotten Stents: Review of Ureteral Stent Tracking SystemsUrology Practice, VOL. 8, NO. 6, (645-648), Online publication date: 1-Nov-2021.Tomer N, Garden E, Small A and Palese M (2020) Ureteral Stent Encrustation: Epidemiology, Pathophysiology, Management and Current TechnologyJournal of Urology, VOL. 205, NO. 1, (68-77), Online publication date: 1-Jan-2021.Jain R, Chaparala H, Omar M, Ganesan V, Sivalingam S, Noble M and Monga M (2017) Retained Ureteral Stents at a Tertiary Referral Stone Center—Who is at Risk?Urology Practice, VOL. 5, NO. 6, (452-457), Online publication date: 1-Nov-2018.Weedin J, Coburn M and Link R (2010) The Impact of Proximal Stone Burden on the Management of Encrusted and Retained Ureteral StentsJournal of Urology, VOL. 185, NO. 2, (542-547), Online publication date: 1-Feb-2011.Haleblian G, Kijvikai K, de la Rosette J and Preminger G (2007) Ureteral Stenting and Urinary Stone Management: A Systematic ReviewJournal of Urology, VOL. 179, NO. 2, (424-430), Online publication date: 1-Feb-2008.BUKKAPATNAM R, SEIGNE J and HELAL M (2018) 1-Step Removal of Encrusted Retained Ureteral StentsJournal of Urology, VOL. 170, NO. 4 Part 1, (1111-1114), Online publication date: 1-Oct-2003.LINGEMAN J, PREMINGER G, BERGER Y, DENSTEDT J, GOLDSTONE L, SEGURA J, AUGE B, WATTERSON J and KUO R (2018) Use of a Temporary Ureteral Drainage Stent After Uncomplicated Ureteroscopy: Results From a Phase II Clinical TrialJournal of Urology, VOL. 169, NO. 5, (1682-1688), Online publication date: 1-May-2003.Auge B, Ferraro R, Madenjian A and Preminger G (2018) Evaluation Of A Dissolvable Ureteral Drainage Stent In A Swine ModelJournal of Urology, VOL. 168, NO. 2, (808-812), Online publication date: 1-Aug-2002. Volume 164Issue 3 Part 1September 2000Page: 648-650 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordscalculiureterurinary catheterizationstentMetricsAuthor Information PRODROMOS G. BORBOROGLU More articles by this author CHRISTOPHER J. KANE More articles by this author Expand All Advertisement PDF downloadLoading ...